DONATE TO SAMARITAN'S HEART MINISTRY

  to the Native I say this:

"Whatsoever you were born there or you have a close relative there or you dream to come back and live there, you are concerned about the development of this area and in fact, you are part of this endeavor. Let’s get together and bring a life to our home town."

Friends and Institutions:

 

No matter who you are or where you come from, we are here for the same cause. Let us be the Voice for the voiceless. Let us change life and situations. Together we can! 

 

DONATION FORM

DATE:_____________________________________________________                                      

YOUR NAME: _______________________________________________

ADDRESS: _________________________________________________

CITY, STATE, ZIP: ___________________________________________

PHONE: ____________________________________________________

E-MAIL ADDRESS:___________________________________________

THE PROGRAM YOU WANT TO FINANCE: ___________________

(Education, healthcare, food, clean water, Construction, Guest house, recapitalization or small business, agriculture, chicken project ... others)

 

Please choose an amount: 

• Monthly Support: USD:  10,   15,    20,    25,    30,     35, 40,     45,       50 ........ 100  
•  
• One time gift: USD: 100   200    300       400      500   ... 1000 and more

 AMOUNT OF DONATION:  $

FORM OF DONATION:                  CHECK ___                         MONEY ORDER ____

CASHIERS CHECK ____                                OTHER________________________________

REGULAR MONTHLY PARTICIPATION: (US$                                  )

SPECIAL MESSAGE: (In this box, please tell us which Program  you would want your money to support )

SIGNATURE OF SENDER:     ______________________________________________   

 

RECEIVE BY:__________________________________________________________